If you still have pain on arrival at the emergency room, you can be reassured that the pain will be relieved within five minutes. Usually no time is wasted. The emergency room staff are primed to move quickly to deal with ambulance cases, particularly those suspected to be heart attack victims. You are mainly expected to say to the nurse or the doctor that you are having chest pain. Point to the area of pain, indicating whether it is severe or very severe and that you are scared and would like something as soon as possible for the pain. You can then cooperate by answering all the other questions that the doctor may wish to ask. You will usually have to state whether you are allergic to medications. You will quickly receive an intravenous injection of morphine, which relieves the pain in two to five minutes. Because the injection is given intravenously, very small doses are used; for example, it may be given in 2-mg increments every minute until the pain is completely relieved. Do not be embarrassed to say that you are scared. A heart attack makes everyone afraid, and the doctor may sometimes forget this. Also, relief of pain by morphine can prevent some complications of a heart attack.

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